一论胎寒。乳母孕时受寒。生下再感外邪。令儿面色青白。四肢厥冷。大便青黑。口冷
腹痛。身起寒栗等症。即宜当归散服之。
当归散
当归(炒) 黄 (蜜炙) 桂心 黄芩 细辛 龙骨(细研) 赤芍(各二钱)
上为末。每服一字。用乳汁调下。日进三服。仍看儿大小加减。
一论胎肥。小儿生下。肥肉浓。遍身血色红。盈月以后。渐渐羸瘦。目白。晴粉红色。
五心烦热。大便难。时时生涎。当浴体。更别父母肥瘦。肥不可生瘦。瘦不可生肥。
一论胎怯。小儿面无精光。肌肉薄弱。大便白水。身无血色。时时哽气多哕。目无精彩
宜以浴体法主之。
浴体法
天麻(末二钱) 蝎梢(去毒) 朱砂(各半钱) 白矾 青黛(各二钱) 乌蛇肉(三钱酒浸
焙为末) 麝香(一字)
上同研匀。每用三钱。水三碗。桃枝一握。并叶五七个同煎。至十沸。温热浴之。浴时
勿浴背。
一论胎黄者。皆因乳母受热而传于胎也。儿生下遍体。面目皆黄。状如黄金色。身上壮
热。大便不通。小便不利。如栀子汁。乳食不思。啼哭不止。宜用地黄汤主之。
地黄汤
生地黄 川芎 赤芍 当归 天花粉 猪苓 泽泻 赤茯苓 茵陈 甘草(各等分)
上锉。每服五钱。水煎。食前乳母服。并略滴些少与儿口中。
第一段论述胎寒。乳母在怀孕期间受寒,婴儿出生后再次感受外邪,导致婴儿面色青白,四肢厥冷,大便呈青黑色,口冷腹痛,身体出现寒战等症状。此时应立即服用当归散。
当归散
当归(炒制)、黄芪(蜜炙)、桂心、黄芩、细辛、龙骨(细研成粉)、赤芍(各二钱)。
以上药物研为细末。每次服用一字量,用乳汁调服。每日服用三次。仍需根据婴儿的大小进行剂量增减。
第二段论述胎肥。小儿出生时,肥肉丰厚,遍身血色红润。满月之后,逐渐变得消瘦,眼白发黄,瞳孔呈粉红色,五心烦热,大便困难,时常流涎。应当使用浴体法治疗。另外需观察父母体型的肥瘦情况,肥胖者不会生出瘦弱之子,瘦弱者也不会生出肥胖之子。
第三段论述胎怯。小儿面部缺乏神采,肌肉薄弱,大便呈白色水样,身上无血色,时常呃逆多哕,目光无精彩。宜以浴体法为主进行治疗。
浴体法
天麻(研末二钱)、蝎梢(去毒)、朱砂(各半钱)、白矾、青黛(各二钱)、乌蛇肉(三钱,酒浸后焙干研末)、麝香(一字)。
以上药物共同研匀。每次取三钱,加水三碗,桃枝一握,连同叶片五七个一起煎煮。煮至沸腾十次后,趁温热给婴儿洗浴。洗浴时不要洗背部。
第四段论述胎黄。这都是因为乳母受热而传染给胎儿所致。婴儿出生后面部和全身皆黄,状如黄金色。身上壮热,大便不通,小便不利,尿色如栀子汁,乳食不思,啼哭不止。宜用地黄汤主治。
地黄汤
生地黄、川芎、赤芍、当归、天花粉、猪苓、泽泻、赤茯苓、茵陈、甘草(各等分)。
以上药物切碎。每次服用五钱,加水煎煮。饭前由乳母服用,并滴少许药液于婴儿口中。
Section 1 discusses Fetal Cold (Tai Han). If the nursing mother contracts cold during pregnancy, and the infant is subsequently exposed to external pathogenic factors after birth, it may cause symptoms such as a bluish-white complexion, cold extremities, dark green or black stools, cold mouth with abdominal pain, and shivering. In such cases, Danggui San should be administered immediately.
Danggui San (Angelica Decoction)
Danggui (Angelicae Sinensis Radix, stir-fried), Huangqi (Astragali Membranacei Radix, honey-fried), Guixin (Cinnamomi Cortex), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), Longgu (Fossilia Ossis Mastodi seu Scapulae, finely ground), Chishao (Paeoniae Radix Rubra) (each 2 qian).
Grind the above ingredients into fine powder. Take one zi dose each time, mixed with breast milk for administration. Administer three times daily. Dosage should be adjusted according to the infant's age and size.
Section 2 discusses Fetal Obesity (Tai Fei). Upon birth, the infant has abundant subcutaneous fat and a ruddy complexion throughout the body. After one month of age, the infant gradually becomes emaciated, the sclera turns yellowish, the pupils appear pinkish-red, there is heat sensation in the five centers (palms, soles, and chest), difficulty in defecation, and frequent salivation. The Bathing Method (Yuti Fa) should be employed. Additionally, observe the parents' body types; an obese parent does not necessarily give birth to a thin child, nor does a thin parent necessarily give birth to an obese child.
Section 3 discusses Fetal Frailty (Tai Qie). The infant lacks luster in the face, has weak muscles, watery white stools, pallor without blood color, frequent hiccupping and belching, and dull eyesight. The Bathing Method (Yuti Fa) should be primarily used for treatment.
Bathing Method (Yuti Fa)
Tianma (Gastrodiae Rhizoma, powdered, 2 qian), Xieshao (Scorpio, venom removed), Zhusha (Cinnabar, 0.5 qian each), Baifan (Alumen), Qingdai (Indigo Naturalis, 2 qian each), Wsheme Rou (Dinodryis Carinata Meat, 3 qian, soaked in wine, dried, and powdered), Shexiang (Moschus, 1 zi).
Grind the above ingredients uniformly together. Use 3 qian each time, add three bowls of water, a handful of peach branches (Taozhi), and five to seven leaves. Decoct together until boiling ten times. Bathe the infant while warm. Do not bathe the back during the process.
Section 4 discusses Fetal Jaundice (Tai Huang). This condition arises from heat transmitted from the nursing mother to the fetus. Upon birth, the infant presents with jaundice covering the entire body and face, resembling the color of gold. Symptoms include high fever, constipation, dysuria with urine resembling Gardenia juice, anorexia, and incessant crying. Dihuang Tang should be used for treatment.
Dihuang Tang (Rehmannia Decoction)
Shengdihuang (Rehmanniae Radix Recens), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Tianhuafen (Trichosanthis Radix), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Chi Fuling (Poria cum Rosa, red-colored), Yinchen (Artemisiae Scopariae Herba), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
Cut the above ingredients. Take 5 qian each time, decoct in water. The nursing mother should take this before meals, and a few drops should be applied to the infant's mouth.